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Full text of "Navy and Marine Corps Medical News 00-49"

The United States Navy on the World Wide Web 
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The United States Navy web site is found on the Internet at 

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Navy and Marine Corps Medical News 

MN-00-49 

December 8, 2000 

Navy and Marine Corps Medical News (MEDNEWS) is a weekly 
compendium of news and information contributed by commands 
throughout the Navy medical department . Information contained in 
MEDNEWS stories is not necessarily endorsed by Navy Bureau of 
Medicine and Surgery (BUMED) , nor should it be considered 
official Navy policy. 

BUMED distributes MEDNEWS to Sailors and Marines, their 
families, civilian employees and retired Navy and Marine Corps 
families. Further distribution is highly encouraged. 

Stories in MEDNEWS use these abbreviations after a Navy 
medical professional 's name to show affiliation: MC — Medical 
Corps (physician) ; DC - Dental Corps; NC - Nurse Corps; MSC - 
Medical Service Corps (clinicians , researchers and 
administrative managers) . Hospital Corpsmen (HM) and Dental 
Technician (DT) designators are placed in front of their names. 

Stories 

Contents for this week's MEDNEWS: 

- DOD further slows anthrax vaccination effort 

- RADM Potter receives Laureate award 

- TSC Great Lakes named heroes of TRICARE 

- Food pathogens are easier to detect with new technology 

- Naval Medical Center hosts trauma symposium 

- TRICARE question and answer 

- Healthwatch: Good posture boosts energy 

Headline: DOD further slows anthrax vaccination effort 
From Office of the Assistant Secretary of Defense 

WASHINGTON - The Department of Defense (DoD) will further 
slow its Anthrax Vaccine Immunization Program (AVIP) . This 
action is consistent with its previously announced plan to do so 
if supply was not increased by year's end. This further slowing 
reduces vaccinations in all theaters except Southwest Asia. 

This move is necessary to conserve available vaccine 
supply while protecting those service members at greatest risk 
and maintaining a contingency reserve for unexpected domestic or 
terrorist requirements. 

A full resumption of the vaccination effort will begin 
when a sufficient supply of FDA-approved and certified safe and 
effective vaccine is available next year. 

Anthrax remains the top biological warfare threat to U.S. 



troops and vaccination is the safest, most reliable way to 
protect service members from a potential threat that is 99 
percent lethal to unprotected, untreated individuals. More than 
495, 000 service members have started their vaccinations and 
nearly two million vaccinations have been given. 

While progress continues to be made in the re— licensing 
effort at Bioport, it is unlikely that production will resume in 
time to allow maintaining a contingency reserve without the 
additional slowdown . 

According to Marine Corps Maj. Gen. Randall L. West, senior 
advisor to the deputy secretary of Defense for Chemical and 
Biological Protection, 

"We are now focusing our vaccination efforts on those 
members serving in areas deemed to be at greatest risk, and that 
is Southwest Asia. We take this action to responsibly manage 
our limited supply of anthrax vaccine while we continue our 
efforts toward FDA licensing of the anthrax vaccine production 
facility and resumed vaccine production. West said. " 

-USN- 

Headline: RADM Potter receives Laureate award 
From Bureau of Medicine and Surgery 

WASHINGTON - RADM Bonnie Potter, Fleet Surgeon, U.S. 
Atlantic Fleet, was recently awarded the Laureate award for her 
abiding commitment to excellence in education, research and 
medical care. 

The award, presented by the American College of 
Physicians-American Society of Internal Medicine (ACP-ASIM) in 
the U.S. Navy Region, honors fellows with a long history of 
excellence and peer approval in the specialty of internal 
medicine. 

"Admiral Potter has been a loyal supporter of the ACP and 
has rendered distinguished service to the region and upheld the 
high ideals and professional standards for which the ACP-ASIM is 
known, " said Capt. Angeline Lazarus, Governor, U.S. Navy Region. 

Potter began her medical career in the Navy, completed her 
internship and residency in internal medicine at the Naval 
Regional Medical Center, Oakland, CA. Her years of dedication to 
Navy Medicine later elevated her to Commander, National Naval 
Medical Center, Bethesda, Md. , and Chief, Medical Corps, Bureau 
of Medicine and Surgery, Washington, DC. 

In December 1999, Potter reported as Fleet Surgeon, U.S. 
Atlantic Fleet. Additional duties include Command Surgeon, U.S. 
Joint Forces Command and Medical Advisor, Allied Command, 
Atlantic. 

-USN- 

Headline: TSC Great Lakes named heroes of TRICARE 

By LT Youssef Aboul-Enein, Naval Hospital Great Lakes 

The TRICARE Service Center Great Lakes was awarded the 
Heroes of TRICARE award this week for its commitment to 100 
percent customer satisfaction. 

The TRICARE Management Activity, which runs the program 
nationwide for the Secretary of Defense for Health Affairs, 



recognizes a person or organization that contributes to the 
success of TRICARE within their region. 

The 14 staff members who make up the Great Lakes TRICARE 
Service Center have taken the "Treat Everyone As Me (TEAM) " 
approach in solving complex health benefits issues and providing 
rapid access to beneficiaries in the Great Lakes region. 

"If a beneficiary has a problem with mounting healthcare 
costs, billing problems or getting specialized care that is not 
provided by the military, they are referred to the TRICARE 
Service Center, which helps them solve their issues and get the 
most out of their hard-earned health benefits, " said Ms. Janet 
Geller, TRICARE Area Manager. 

Geller attributes this success not only to her staff who 
fully appreciate military families wanting to get care for their 
loved ones but also to the fact that the Service Center is 
located within the Naval Hospital, making access to these health 
benefits experts quick and convenient. 

"The TRICARE Service Center staff at Great Lakes receive 
100 referrals weekly, 75 walk-ins daily and 190 telephone calls 
per day. Each is an opportunity to implement a positive 
attitude for change, " said CAPT Elaine Holmes, MC, Naval 
Hospital Great Lakes Commanding Officer. 

The hospital also requires all newly reporting members 
checking into Naval Training Center Great Lakes to visit the 
TRICARE Service Center in an effort to orient new families to 
healthcare options available in this region. 

These Heroes of Healthcare will receive a letter from Dr. 
James Sears, TRICARE Management Activity Director and will be 
honored at the annual Department of Defense TRICARE Conference 
in January. 

-USN- 

Headline : Food pathogens are easier to detect with new technology 
From Naval Medical Research Center 

SILVER SPRING, Md - Capturing and identifying the germs 
that cause thousands of cases of food poisoning in the United 
States every year may soon become faster and more accurate 
following the testing of new technologies developed by the U.S. 
Navy. 

A collaborative research agreement between Rocky Mountain 
Resource Labs and the Naval Medical Research Center (NMRC) will 
validate improved methods for detecting four dangerous food 
pathogens: Salmonella, Listeria, E. Coli, and Campylobacter. 

The project links two new food safety technologies . One, 
developed by NMRC, can detect and quantify any of the four 
pathogens in 24 hours or less. The second is a vacuum-san^ling 
unit developed by the Rocky Mountain Resource Lab. The vacuum 
lifts pathogens from cracks and crevices in foods and other 
surfaces, enhancing the accuracy of microbial sampling . 

Both partners hope to improve methods for identifying and 
quantifying pathogens in food to reduce the public health risks. 

-USN- 

Headline: Naval Medical Center hosts fourth annual trauma 



symposium 

By J02 Stacie Rose, Naval Medical Center San Diego 

SAN DIEGO - The Naval Medical Center here hosted its 
fourth annual Trauma Symposium last month, entitled "Bringing 
21st Century Trauma Care to the Low Intensity Theatre. " 

The event was sponsored by the medical center and 
supported by the Bureau of Medicine and Surgery, Office of the 
Lead Agent for TRICARE Region 9, and the Henry M. Jackson 
Foundation . 

The two-day symposium was broadcast around the world by 
satellite and viewed at 88 sites across the country, with nearly 
900 viewers nationwide. This year, an audience response system 
(ARS) allowed 250 people in the medical center's auditorium to 
answer questions. The distribution of responses was instantly 
analyzed and displayed. 

"This brought the audience into the conference and 
contributed to the conference's success, " said Cmdr. Lawrence 
Roberts, one of the event coordinators. 

In the courtyard. Camp Pendleton's Fleet Hospital 
Operations and Training Command set up a mock fleet hospital, 
complete with high— tech trauma mannequins, and the latest 
technology in military medicine . 

Four computers were used to demonstrate web-based and CD- 
ROM trauma training tools that are now available. 

Breakout sessions where medical corps and nurse corps 
personnel, and hospital corpsmen were separated for 90 minutes, 
then reunited, proved to be a valuable tool to discuss subtle 
differences in approaches and management . 

"I believe conferences such as this enhance our ability as 
military healthcare teams and strengthen our resolve for 
readiness training, " said Roberts. 

-USN- 

Headline: TRICARE question and answer 

Question: If my family moves to a different region, are we 
(active duty) automatically assigned a new Primary Care Manager, 
or do we have to re— enroll? 

Answer: Enrollment in TRICARE Prime entails the assignment 
of a Primary Care Manager, enrollment in DEERS, and 
communication with the member on what enrollment in the TRICARE 
program means. For active duty members, enrollment is automatic . 
For active duty family members, enrollment in TRICARE Prime is 
on a voluntary basis. 

Currently, if you move to a different region, you will have 
up to 30 days at the new site to enroll . Your old region will 
cover you for care until you enroll at the new region. Enrolled 
members will start a new 12-month enrollment period. 

-USN- 

Headline: Good posture boosts energy 
From TRICARE Management Activity 

WASHINGTON - You may think it 's more comfortable and 
restful to slouch while using your keyboard or to lean on your 
desk with your elbows while reading. But in the long run, it 



isn ' t . 

In fact, poor posture, the stress of leaning over 
paperwork and straining to peer at computer screens may 
eventually cause muscle tension, stiffness, backaches, neck 
cramps and fatigue. Such habits can even lead to more serious 
problems such as spine disorders or pinched nerves. 

Slouching can overstretch the ligaments that support your 
spine. Cradling a telephone receiver between your head and 
shoulder can give you a stiff, sore neck. Sitting in one 
position for long periods can reduce circulation in your 
muscles, increasing fatigue and stiffness and setting you up for 
injury . 

Here are the major components of healthy and energizing- 
posture: Whether sitting or standing, keep your ears, shoulders 
and hips stacked in a straight line to keep the natural curves 
of your spine in its normal, balanced alignment . Adjust your 
chair height so that your feet are flat on the floor or on a 
footstool . Avoid crossing your legs. 

Slide your chair under your desk so you won't have to lean 
too far forward. If your chair is at a comfortable height, your 
knees will be level with or slightly lower than your hips. 
Support your lower back with the back of your chair. 

For additional support use a cushion, lumbar roll or 
rolled up towel and place it in the small of your back. Place 
books and papers in a book stand or document holder the same 
distance from you as your computer screen. Make sure such 
documents and the computer screen are at or slightly below eye 
level . 

Do not cradle the telephone receiver between your head and 
shoulder, use a headset or speakerphone or simply hold it to 
your ear with your hand. Stretch about once an hour. Avoid 
staying in one position for hours at a time. Stand up, breathe 
deeply, stretch and shake out the kinks. 

Just a few minutes an hour should stimulate circulation 
and keep you limber. You may accomplish a lot at work despite 
bad posture, but you'll get a surprising energy boost and be 
able to accomplish even more when you practice good posture. 
Good posture contributes to deep breathing, healthy organ 
function and good circulation — all great energy boosters. 

It may take a little practice, but the return in comfort 
and energy will go a long way toward helping you look and feel 
your best . 

-USN- 

Comments and ideas for MEDNEWS are welcome . Story Submissions 
are highly encouraged. Contact MEDNEWS editor. At email: 
mednews@us.med.navy.mil; telephone 202—762—3218, (dsn) 762, or 
fax 202-762-3224.